Surgery Center of Chesapeake LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Chesapeake, VA
NPI 1235115239 · NPPES record last updated Mar 10, 2015
Key facts
- NPI
- 1235115239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 0220000405 (VA)
- Legal business name
- SURGERY CENTER OF CHESAPEAKE LLC
- Practice address
- 844 Battlefield Blvd N
Chesapeake, VA 23320-4802 - Phone
- (757) 312-6800
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Julie C Camardella, BSN, CHCRM
- Title
- Ceo
- Phone
- (757) 312-6250
Member of 1
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Surgery Center of Chesapeake LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1084470 | Surgery Center of Chesapeake, LLC,the | Certificate of waiver | May 22, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100126000714 | VA | Part B Supplier - Ambulatory Surgical Center | 2860534021 | Practice locations: Chesapeake, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0220000405 | VA | Yes |
Addresses
Primary practice location
844 Battlefield Blvd N
Chesapeake, VA 23320-4802
Mailing address
844 Battlefield Blvd N
Chesapeake, VA 23320-4802
Phone (757) 312-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007603771 | Medicaid | VA | |
| 442005 | Other | VA | ANTHEM BLUE CROSS BLUE SHIELD |
Other providers in Chesapeake, VA
- Sunny Circle Speech
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- Supreme Healthcare LLC
- Lori Ann Surber
- Christy Surgeoner
- Surya N Challa MD PC
- Jamie Leigh Sustakoski
- Dante Aikeem Sutphin
- Stephen Suttmiller
- Antwanette Leigh Sutton
All providers in Chesapeake, VA · Ambulatory Surgical Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.